Provider Demographics
NPI:1053439844
Name:SCHWARTZ, RICHARD P (MD PC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:P
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 ORNAC STE 510
Mailing Address - Street 2:JOHN CUMING BUILDING
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4162
Mailing Address - Country:US
Mailing Address - Phone:978-776-6186
Mailing Address - Fax:978-776-6189
Practice Address - Street 1:131 ORNAC STE 510
Practice Address - Street 2:JOHN CUMING BUILDING
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4162
Practice Address - Country:US
Practice Address - Phone:978-776-6186
Practice Address - Fax:978-776-6189
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39864207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2053918Medicaid
MAB33510Medicare ID - Type Unspecified
MA2053918Medicaid